Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Randy Fitzgerald Hines Jr., RA

Individual provider Community Health Worker · NPI 1528903234

Mr. Randy Fitzgerald Hines Jr., RA is a Community Health Worker in Fairmont, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2026

Practice location Address checks out

300 Holbert Ave
Fairmont, WV 26554-3224
Phone: (304) 363-2228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (WV)

Record details

NPI number1528903234
Entity typeIndividual (Type 1)
GenderMale
Credentials RA
Sole proprietorYes
NPI enumeratedApril 20, 2026
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

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